An infant has been born with an esophageal atresia and tracheoesophageal fistula. What is the priority preoperative nursing diagnosis?
Risk for aspiration related to regurgitation
Acute pain related to esophageal defect
Ineffective tissue perfusion gastrointestinal related to decreased circulation
Ineffective feeding pattern related to uncoordinated suck and swallow
The Correct Answer is A
a) Risk for aspiration related to regurgitation: With esophageal atresia and tracheoesophageal fistula, the risk of aspiration due to the abnormal connection between the trachea and esophagus is a significant concern. Preventing aspiration is a priority.
b) Acute pain related to esophageal defect: Pain might be present but managing the risk of aspiration is more immediate.
c) Ineffective tissue perfusion gastrointestinal related to decreased circulation: While important, preventing aspiration takes precedence.
d) Ineffective feeding pattern related to uncoordinated suck and swallow: A valid concern but not as critical as the risk of aspiration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) Pulmonary constriction: Typically, not associated with tracheal deviation or air in the pleural space.
b) Smoke inhalation injury: Unlikely to cause tracheal deviation or air in the pleural space.
c) Pneumonia: Does not typically cause tracheal deviation or immediate hypotension.
d) Tension pneumothorax: Presents with air in the pleural space, tracheal deviation, respiratory distress, decreasing LOC, and can lead to hypotension due to compromised circulation.
Correct Answer is D
Explanation
a) Carrots and green leafy vegetables: These are generally low in potassium and would be considered safer options for someone with hyperkalemia.
b) Spaghetti and meat sauce, breadsticks: These typically don't contain high potassium levels compared to other choices.
c) Hamburger on a bun, cherry gelatin: Unlikely to be high in potassium.
d) Chips, cold cuts, and canned foods: These can be high in added salts and preservatives, leading to higher potassium content. Therefore, they should be avoided by individuals managing hyperkalemia due to renal failure.
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